Murphysboro Medicaid billing for Pathology and Laboratory Procedures totals $7,595 in 2024

In 2024, Medicaid providers in Murphysboro billed $7,595 for Pathology and Laboratory Procedures services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount reflects a 0.1% bump compared with 2023, when claims for these services reached $7,590.

Medicaid is the public health insurance program administered by the states and funded collaboratively through state and federal government resources. It serves low-income families and individuals, seniors, children, and those with disabilities, making up a significant portion of the national health care system.

Because taxpayer dollars finance Medicaid payments, shifts in local claim levels illustrate how public healthcare funds are distributed within communities.

The “Pathology and Laboratory Procedures” classification encompasses a range of services billed to Medicaid, specified by standard HCPCS and CPT codes. In this report, each code was assigned to only one service category using uniform code prefixes and numeric group criteria—streamlining analysis and ranking accuracy by eliminating double counting.

Pathology and Laboratory Procedures claimed the fifth highest spot for Medicaid spending by category in Murphysboro in 2024, even as multiple other categories also experienced growth.

Statewide, Pathology and Laboratory Procedures ranked fourth in Illinois for Medicaid payments during 2024.

In the five years leading up to 2024, Medicaid payments related to Pathology and Laboratory Procedures increased $19,423, or 71.9%, in Murphysboro. Increases were especially noteworthy during certain stretches—most notably in 2022 and 2023.

Payments in this category were dispersed across Murphysboro but centered within a small cluster of ZIP codes. For 2024, ZIP code 62966 recorded all Medicaid payments for Pathology and Laboratory Procedures, accounting for $7,595 and representing 100% of the city’s total for the service group that year.

Within the Pathology and Laboratory Procedures grouping, a small set of individual billing codes drew the majority of Medicaid payments.

Murphysboro saw Medicaid payments for Pathology and Laboratory Procedures grow 0.1% between 2024 and 2023; for all Medicaid categories combined, the increase locally during that time was 6%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached an estimated $871.7 billion in fiscal year 2023, making up about 18% of all U.S. health expenditures. That marked a significant rise from the $613.5 billion spent in 2019, before COVID-19.

This growth—about 40% in just a few years—was largely due to expanded program enrollment and higher use of Medicaid services during and after the pandemic.

Recent federal budgets enacted during the Trump administration included major provisions to reduce federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut more than $1 trillion from federal Medicaid spending over 10 years and establishes new policies like work requirements and higher cost-sharing. These measures may decrease coverage and financial aid for some and are expected to put greater fiscal responsibility on states while restricting federal payment expansion, despite the large Medicaid population.

Note: HCPCS codes are provided for context within this service group. Totals and rankings discussed here reflect standardized groupings of services, rather than individual billing codes.

Data in this story comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source material here.